{"id":142,"date":"2014-01-29T01:34:21","date_gmt":"2014-01-29T01:34:21","guid":{"rendered":"https:\/\/www.pvcompletedentistry.com\/blog\/?p=142"},"modified":"2017-05-10T16:21:58","modified_gmt":"2017-05-10T16:21:58","slug":"brushing-teeth-incorrectly","status":"publish","type":"post","link":"https:\/\/www.pvcompletedentistry.com\/blog\/2014\/01\/brushing-teeth-incorrectly\/","title":{"rendered":"Have You Been Brushing Your Teeth Incorrectly?"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-422 alignleft\" src=\"https:\/\/www.pvcompletedentistry.com\/blog\/wp-content\/uploads\/2014\/01\/iStock-627586218-300x208.jpg\" alt=\"\" width=\"300\" height=\"208\" srcset=\"https:\/\/www.pvcompletedentistry.com\/blog\/wp-content\/uploads\/2014\/01\/iStock-627586218-300x208.jpg 300w, https:\/\/www.pvcompletedentistry.com\/blog\/wp-content\/uploads\/2014\/01\/iStock-627586218-768x533.jpg 768w, https:\/\/www.pvcompletedentistry.com\/blog\/wp-content\/uploads\/2014\/01\/iStock-627586218-1024x711.jpg 1024w, https:\/\/www.pvcompletedentistry.com\/blog\/wp-content\/uploads\/2014\/01\/iStock-627586218.jpg 1229w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>Do You Brush Your Teeth Correctly? \u00a0Maybe Not \u00a0\u00a0\u00a0\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Many adults have been brushing incorrectly for their entire lives and have no idea that they are doing it wrong. In a study it was found that proper oral hygiene training resulted in a 50% reduction in plaque scores after only 3 months of active therapy.(DeVore et al., 1990)What does this mean? Many adults are practicing improper oral hygiene methods.<\/span><!--more--><\/p>\n<h2><span style=\"font-weight: 400;\">How Does This Happen?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The Bass Method and the Modified Bass Method have been found to be the most effective ways to brush. \u00a0We will explain that in detail below. \u00a0With these methods, the bristles reach only .5mm to 1mm below the gingival margin (the area between the gum and the tooth). (Waerhog, 1981) \u00a0This is important for several reasons. \u00a0First, this is where much of the accumulation occurs. \u00a0These accumulations, if not removed, are what cause caries and subsequent cavities. \u00a0Second, this shows that the toothbrush does not penetrate very far into this area. \u00a0Compare this to other methods of cleaning. \u00a0Flossing reaches an average of 3mm and scaling done by your hygienist has an average instrumentation limit of 6.21mm. \u00a0Finally, the difference in percentage between .5mm and 1mm is significant. \u00a0These things all lead to the conclusion that the method of tooth brushing is critical for healthy teeth and gums.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How Long Do You Brush?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Try this at home. \u00a0Set a timer next time you brush. \u00a0Brush as you normally do then look at the timer. \u00a0Is it 2 minutes? \u00a0Most people report to being less than half of that value. \u00a0The time spent brushing has been shown to be more critical than the method, brand and style of toothbrush, or age of toothbrush. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Are Powered Brushes More Effective than Manual Brushes?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Several studies have been done to determine the answer to this. \u00a0There were inadequacies of each of the studies. \u00a0With that being said, a recent study showed patients that brushed with the manual Bass technique had 3 times more plaque than those using a Sonicare powered brush and 11.9 times more plaque between the teeth in the back of the lower front teeth. \u00a0\u00a0One criticism of the powered brushes by dentists is that there are many recommendations to eliminate flossing for powered toothbrush users. \u00a0We all vary on our risk level for plaque, calculus, and dental caries and that decision should be addressed individually.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The Proper Manual Technique<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Charles C. Bass developed the Bass technique in the 1940\u2019s after his retirement from university administration. \u00a0The Bass technique and the Modified Bass technique have since become the standard for which much of our country\u2019s oral hygiene instruction has been based.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">First and possibly most importantly, the angle of the toothbrush has been found to be the largest source of error with patients. \u00a0Bass instructs to hold the toothbrush at a 45 degree angle toward the sulcus (the area where the teeth meet the gums). \u00a0This allows the bristles to properly penetrate into the critical areas. \u00a0\u00a0This picture illustrates the proper angle.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Second, brushing should be performed in a circular motion using small circles. \u00a0Adequate overlap should be used to ensure that there are no areas that are missed.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Should I Rinse After?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Most tooth pastes have the proper amount of fluoride added. \u00a0This addition has been shown many times to be of benefit for the prevention of decay. \u00a0If you rinse after brushing you will wash away the fluoride delivered from the toothpaste and decrease it\u2019s efficacy.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Should I Use Mouthwash?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you would like to freshen your breath between brushings then mouthwash is great. \u00a0Most mouthwashes without fluoride serve no purpose other than this freshening. \u00a0Alcohol has also been shown to kill \u201cgood\u201d bacteria in the mouth. \u00a0Most people that use mouthwash have been taught to use it after brushing. \u00a0There is, however, one large criticism to using mouthwash after brushing. \u00a0\u00a0Most of the over the counter fluoridated mouthwashes actually contain less fluoride than your toothpaste. \u00a0When rinsing with this you wash away much of the fluoride from the toothpaste and the result is just the fluoride delivered by the mouthwash.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How Often Should I Change My Toothbrush?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A recent study showed that toothbrush wear is not as important as previously thought. \u00a0Twenty two dental students were chosen and instructed on the Bass technique and their plaque scores were compared to the baseline. \u00a0Plaque scores were found to actually decrease at 30, 60, and 90 days. \u00a0Some previous recommendations were that patients changed toothbrushes even every 30 days. \u00a0Most dentists will recommend changing your toothbrush every three months and this seems like the soonest that would prove benefit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ponte Vedra Complete Dentistry is a general and cosmetic dentist located in Ponte Vedra Florida. PVCD features caring, trained and skilled doctors who will work hand-in-hand with you to create a treatment plan that protects and restores your teeth and bite to their ultimate health and beauty, and a staff ready to address your every need. For any additional information or for a consultation please call Ponte Vedra Complete Dentistry at (904) 285-7711 or contact us online.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Do You Brush Your Teeth Correctly? \u00a0Maybe Not \u00a0\u00a0\u00a0\u00a0 Many adults have been brushing incorrectly for their entire lives and have no idea that they are doing it wrong. In a study it was found that proper oral hygiene training resulted in a 50% reduction in plaque scores after only 3 months of active therapy.(DeVore [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[49,41],"class_list":["post-142","post","type-post","status-publish","format-standard","hentry","category-general-dentistry","tag-brushing-teeth","tag-oral-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Have You Been Brushing Your Teeth Incorrectly? - Ponte Vedra Complete Dentistry<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pvcompletedentistry.com\/blog\/2014\/01\/brushing-teeth-incorrectly\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Have You Been Brushing Your Teeth Incorrectly? - Ponte Vedra Complete Dentistry\" \/>\n<meta property=\"og:description\" content=\"Do You Brush Your Teeth Correctly? \u00a0Maybe Not \u00a0\u00a0\u00a0\u00a0 Many adults have been brushing incorrectly for their entire lives and have no idea that they are doing it wrong. 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